Title Povezanost boli i depresije u osoba s amputiranim ekstremitetom Title (english) Relationship between pain and depression after limb amputation Author Josipa Varela Mentor Branka Aukst Margetić (mentor)Committee member Livia Puljak (predsjednik povjerenstva)Committee member Melita Uremović (član povjerenstva)Committee member Branka Aukst Margetić (član povjerenstva)Granter Catholic University of Croatia Defense date and country 2020-10-13, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Uvod: U osoba u kojih je učinjena amputacija ekstremiteta često je izražen osjećaj boli koji može perzistirati i dugo nakon amputacije. Depresija se učestalo javlja u različitim tjelesnim bolestima i povezana je s boli.
Cilj: Cilj istraživanja bio je ispitati povezanost intenziteta boli i depresije u osoba s amputiranim ekstremitetom mjesec dana nakon operacije.
Metode: U istraživanje je između 1.3.2019 i 1.6.2019 uključeno 60 ispitanika (83%muških) s medijanom dobi 65 godina u kojih je amputiran ekstremitet, a liječeni su na Zavodu za traumatologiju i ortopediju, Klinike za kirurgiju, KB Dubrava, Zagreb, Hrvatska. Podaci su prikupljeni pomoću anketnog upitnika koji sadrži sociodemografske podatke, numeričku ljestvicu boli (Numeric rating scale, NRS) te Ljestvicu za depresiju centra za epidemiološka istraživanja (engl. Center for epidemiologic study of depression scale, CES-D).
Rezultati: Medijan intenziteta boli mjeren mjesec dana poslijeoperativno u ispitanika na NRS boli bio je 7 ( raspon od 0-10). Medijan na ljestvici depresije bio je 15, a depresija je prema kriterijima upitnika CES-D bila prisutna u 48% ispitanika. U 37 ispitanika od ranije je postojala dijagnoza posttraumatskog stresnog poremećaja (PTSP) u vezi stresova (ratnih ili civilnih). U 53 ispitanika je amputacija nastala kao posljedica organske bolesti, a u 7 ispitanika kao posljedica traume Depresivnost i intenzitet boli nisu bili povezani. Nije nađena značajna razlika u depresivnosti prema dobi. Ispitanici koji žive u gradu bili su češće depresivni u odnosu na ispitanike koji žive na selu (U-test; p=0,002). Nije bilo razlike u učestalosti depresije u odnosu na spol, razinu obrazovanja i bračni status, prisutnost ranijeg liječenja od PTSP-a kao niti vezano uz uzrok amputacije.
Zaključak: Ovo istraživanje nije ukazalo na povezanost intenziteta boli i depresije u osoba s amputiranim ekstremitetom.
Abstract (english) Patients with previous amputation of an extremity often have perception of pain that can persist for a long time after amputation. Depression is common in various chronic somatic illnesses and states and is associated with pain.
The aim of the study was to assess if depression and intensity of pain were associated in the patients with extremity amputation one month postoperatively.
Methods and subjects:
Sixty patients with an amputated extremity (83%male) with median age 65 years treated in the Department of traumatology and Department of Orthopaedics Clinical Hospital Dubrava, Zagreb, Croatia between 1st March 2019 and 1st June 2019. The data were collected with questionnaire that comprises sociodemographic data, Numeric rating scale (NRS) for pain assessment and Center for epidemiologic study of depression (CES-D) scale.
Results: Median of pain intensity, measured a month postoperatively on NRS was 7 (range 0-10). Median of depression was 15 and depression, based on CES-d cut-off criteria was established in 48% of the patients. In 37 patients the previous diagnosis of posttraumatic stress disorder was established. In 53 patients the amputation was result of previous somatic illness, and in 7 patients result of trauma. Depressivity and pain were not associated. There was no significant difference in depression according to age. The patients that live in the city were more often depressed in comparisons to those that live in the village (U-test; p=0,002). There was no difference in the frequency of depression according to gender, education, marriage state, presence of previous PTSD treatment and cause of amputation.
Conclusion: This study did not show the associations between intensity of pain and depression that were expected based on previous research.
Keywords
bol
depresija
amputacija
presječno istraživanje
Keywords (english)
pain
depression
amputation
cross-sectional study
Language croatian URN:NBN urn:nbn:hr:224:750132 Study programme Title: Department of Nursing Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Created on 2021-02-12 09:26:59
